Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Gagnon, LO

Individual provider Optician · NPI 1477140721

Kimberly Gagnon, LO is an Optician in Newington, Connecticut. Licensed in Connecticut. Registered with an NPI since 2020.

Licensed in
CT
In the registry since
2020
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Practice location Address checks out

505 Willard Ave Ste 2B
Newington, CT 06111-2650
Phone: (860) 667-0207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 1694 (CT)

Record details

NPI number1477140721
Entity typeIndividual (Type 1)
GenderFemale
Credentials LO
Sole proprietorNo
NPI enumeratedDecember 21, 2020
Last updated in NPPESDecember 21, 2020
Certification dateDecember 21, 2020
Mailing address59 Buckland Rd, Wethersfield, CT 06109-1204

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